2023-10-16T18:50:59-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-02-01 930910794 ONE COMMUNITY HEALTH ONEC 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 MAX JANASIK CEO 5413866380 2023-10-16 1 MAX JANASIK 999009999 0 KURT BENNION CPA P01469618 4252506100 2023-10-16 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MAX JANASIK 849 PACIFIC AVENUE HOOD RIVER OR 97031 30472917 0 X ONECOMMUNITYHEALTH.ORG X 1986 OR ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 13 13 351 14 0 0 9565894 7767224 21994630 20904842 316959 142933 -2487 13714 31874996 28828713 9700 7620 0 0 19197311 20612851 0 0 0 8668373 7830385 27875384 28450856 3999612 377857 40377715 38904645 16983114 15591929 23394601 23312716 X ADVANCE HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. 0 0 18988067 7620 20904842 REFER TO SCHEDULE O FOR PROGRAM DESCRIPTIONONE COMMUNITY HEALTH SERVED OVER 15,176 INDIVIDUALS THROUGH 56,378 FACETOFACE ENCOUNTERS AND 2,892 VIRTUAL VISITS IN 2022. RECOGNIZED AS A 5 STAR PATIENTCENTERED PRIMARY CARE HOME BY THE OREGON HEALTH AUTHORITY, OUR INTEGRATED PRIMARY CARE MODEL STRIVES TO PROVIDE AN OUTSTANDING PATIENT EXPERIENCE AND EXCEPTIONAL CLINICAL RESULTS. OUR MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE TEAMS COMPRISED OF 153 FTE (FULL TIME EQUIVALENTS), 40.2 OF WHICH ARE LICENSED INDEPENDENT PROVIDERS. OCH'S PRIMARY CARE SERVICES INCLUDE: - MATERNITY AND NEWBORN CARE (PRENATAL CARE, DELIVERIES INCLUDING CAESAREAN SECTIONS, POSTPARTUM AND NEONATAL CARE, AND PREVENTIVE DIAGNOSTICS). - EVIDENCE BASED MEDICAL, DENTAL, AND BEHAVIORAL TREATMENT FOR ALL AGES. - LABORATORY SERVICES, MEDICATION ASSISTANCE, IMMUNIZATIONS ALL AGES (INFANTS TO ADULTS), WELLCHILD EXAMS, PATIENT CASE MANAGEMENT, CHRONIC CARE MANAGEMENT, CANCER AND OTHER DISEASE SCREENINGS, DEVELOPMENTAL SCREENINGS FOR CHILDREN, AND FAMILY PLANNING SERVICES. - OUTREACH AND EDUCATION (PROMOTORAS DE SALUD), INTERPRETATION, MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID ADDICTIONS, CASE MANAGEMENT AND PEER SUPPORT SERVICES, DIABETES AND MATERNITY CARE COORDINATION, AND ACUPUNCTURE. SPECIAL PROGRAMS IN AREAS SUCH AS DIABETES EDUCATION AND CASE MANAGEMENT, PERINATAL, PREVENTATIVE HEALTH, AND OTHERS HAVE BECOME PART OF THE FABRIC OF ONE COMMUNITY HEALTH. TWO OF OUR PHYSICIANS ARE DESIGNATED CIVIL SURGEONS AND PROVIDE MEDICAL EXAMINATIONS FOR IMMIGRATION APPLICANTS. - OCH HAS ELIGIBILITY AND ENROLLMENT STAFF AT EACH OF ITS HEALTH CENTERS TO EDUCATE PATIENTS AND COMMUNITY MEMBERS ON AFFORDABLE HEALTH INSURANCE OPTIONS. - WE PARTNER WITH PROVIDENCE HEALTH AND SERVICES IN PROVIDING AN INTEGRATED, RURAL, PRIMARY CARE RESIDENCY PROGRAM. - ONE COMMUNITY HEALTH OPERATES THE ONLY SCHOOLBASED HEALTH CENTER IN HOOD RIVER COUNTY THAT SERVES ALL CHILDREN AND TEENS WHO RESIDE IN THE HOOD RIVER COUNTY SCHOOL DISTRICT. - WE PARTNER WITH THE OREGON CHILD DEVELOPMENT COALITION (OCDC) TO PROVIDE PRIMARY CARE SERVICES TO THE CHILDREN OF MIGRANT AND SEASONAL FARMWORKERS DURING OREGON'S PEAK AGRICULTURAL MONTHS. - WE PARTNER AND COORDINATE WITH OUTSTANDING LOCAL PROVIDERS FOR: BEHAVIORAL HEALTH CARE, PHYSICAL THERAPY, HOSPITAL CARE, MASSAGE THERAPY, AND MANY OTHER SPECIALTY AND SUBSPECIALTY SERVICES ACCORDING TO PATIENT NEEDS. WE INCREASINGLY COORDINATE WITH COMMUNITY BASED SOCIAL SERVICE ORGANIZATIONS FOR NEEDS SUCH AS HOUSING, EMPLOYMENT, FOOD INSECURITY, ETC. WE ARE PROUD TO CONTINUE OUR MISSION OF ADVANCING HEALTH AND SOCIAL JUSTICE FOR ALL MEMBERS OF OUR COMMUNITY. NOTABLE ACCOMPLISHMENTS IN CALENDAR YEAR 2022: - IN 2022, OCH CONTINUED ITS FOCUS ON VACCINE EQUITY AND ADMINISTERED 6,879 COVID VACCINES, WITH 55% OF THOSE GOING TO PEOPLE THAT IDENTIFY AS A RACE OTHER THAN WHITE. MOREOVER, HOOD RIVER COUNTY MAINTAINED ITS STATUS AS THE NUMBER ONE VACCINATED COUNTY IN THE STATE AND WASCO COUNTY WAS RANKED 10TH. - IN APRIL 2022, INITIATED A PARTNERSHIP WITH OREGON HEALTH AND SCIENCE UNIVERSITY'S KNIGHT CANCER INSTITUTE AND THE OREGON RURAL PRACTICE RESEARCH NETWORK TO PARTICIPATE AS A STUDY SITE IN A NATIONWIDE PATHFINDER II MULTI-CANCER EARLY DETECTION TEST RESEARCH. THE OCH SITE ENROLLED 268 PARTICIPANTS, HELPING OHSU TO BE THE HIGHEST PARTICIPATING ORGANIZATION OUT OF 19 ACROSS THE UNITED STATES. ADDITIONALLY, OCH ENROLLED MORE PARTICIPANTS THAN 11 OTHER SITES WITH A MORE DIVERSE PATIENT POPULATION CONTRIBUTING TO GREATER EQUITY IN RESEARCH. - IN APRIL 2022, LAUNCHED MOBILE CLINIC "LA CLINICA" TO INCREASE ACCESS FOR THOSE COMMUNITY MEMBERS WITH TRANSPORTATION, ECONOMIC, AND OTHER BARRIERS TO CARE. - ONE OF TWO HEALTHCARE FACILITIES IN THE STATE SELECTED AS A PILOT SITE FOR COVID TEST-TO-TREAT PROGRAM. ESTABLISHED BOTH LOCATIONS AS COVID ANTIVIRAL THERAPEUTIC DISTRIBUTION CENTERS TREATING 921 PATIENTS AND ENABLED ACCESS TO THE MOST VULNERABLE POPULATIONS. DEVELOPED A TOOLKIT TO ASSIST OTHER CLINICS AROUND THE STATE AND DROVE PLANS FOR FUTURE PUBLIC HEALTH EMERGENCY RESPONSE. - ADDED ACUPUNCTURE AS A SERVICE OFFERED IN THE DALLES CLINIC. - RECEIVED A 2022 TOP WORKPLACE AWARD FROM THE OREGONIAN/OREGONLIVE. - GRADUATED FIRST CLASS OF MEDICAL ASSISTANTS IN ITS MEDICAL ASSISTANT APPRENTICESHIP PROGRAM - BEGAN OFFERING TUITION REIMBURSEMENT TO EMPLOYEES GIVING PRIORITY TO THOSE WHO ARE FIRST GENERATION COLLEGE STUDENTS. - OCH WENT LIVE WITH A REDESIGNED WEBSITE HOSTING EDUCATIONAL VIDEOS, ONLINE PATIENT FORMS, CALENDARS AND ONLINE SCHEDULING - PROVIDED $5.2 MILLION IN CHARITABLE AND DISCOUNTED CARE - BEGAN CONNECTED CARE PROGRAM OFFERING AT-HOME SUPPORT TO THE ELDERLY - COLLABORATED WITH THE OREGON LAW CENTER OFFERING ON-SITE LEGAL SERVICES ON A WEEKLY BASIS TO PATIENTS - EXPANDED CLASSES OFFERING EXERCISE, BEHAVIORAL HEALTH, DIABETES, AND PERINATAL GROUPS TO PATIENTS - BEGAN SCREENING ALL PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH DURING CHECK-IN. - LAUNCHED IN-HOUSE COUNSEL SERVICES TO SAFEGUARD THE ORGANIZATION AND ITS STAKEHOLDERS WHILE ENSURING ADHERENCE TO ALL RELEVANT LEGAL OBLIGATIONS. - ADDED FLUORIDE VARNISH TREATMENTS DURING WELL CHILD CHECKS - INVESTED IN DE LAS MIAS DIGITAL APPLICATION OFFERING A RANGE OF FEATURES DESIGNED TO PROMOTE HEALTH AND BALANCED LIFESTYLE WITHIN THE LATIN COMMUNITY - INITIATED BEHAVIORAL HEALTH AND NURSE INTERN PROGRAM AIMING TO ENHANCE RECRUITMENT EFFORTS, ESTABLISH ENDURING PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, AND ENHANCE THE OVERALL LEARNING EXPERIENCE ACROSS VARIOUS PROGRAMS TOTAL NUMBER OF ONE COMMUNITY HEALTH PATIENTS IN 2022:15,176 GENDER CHARACTERISTICS - FEMALE: 4,407 (29%) - MALE: 3,205 (21.1%) - TRANSGENDER MAN/TRANSGENDER MALE/TRANSMASCULINE: 27 (.17%) - TRANSGENDER WOMAN/TRANSGENDER FEMALE/TRANSFEMININE: 11 (.07%) - OTHER: 72 (.47%) - CHOSE NOT TO DISCLOSE: 104 (.68%) - UNKNOWN: 7,350 (48.4%) ETHNICITY- WHITE NON HISPANIC/LATINO: 7,804 (51.4%%) - WHITE HISPANIC/LATINO: 5,775 (38%) - ASIAN/PACIFIC ISLANDER: 151 (.99%) - BLACK/AFRICAN AMERICAN 61 (0.40%) - AMERICAN INDIAN/ALASKA NATIVE 167 (1.1%) - MORE THAN ONE RACE 124 (0.82%) - UNREPORTED: 1,094 (7.2%) THIRD PARTY COVERAGE - UNINSURED: 3,881 (25.57%) - MEDICAID: 6,490 (42.76%) - MEDIMEDI: 577 (3.80%) - PRIVATE INSURANCE: 3,355 (22.1%) - MEDICARE: 1,441 (9.49%) - OTHER PUBLIC HEALTH INS: 9 (0.06%) SELECTED CHARACTERISTICS: - MIGRANT/SEASONAL WORKERS: 4,469 (29.44%) - HOMELESS: 192 (1.26%) - SCHOOL-BASED SERVICE SITE: 417 (2.74%) - VETERANS: 174 (1.14%) 18988067 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 59 0 351 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OR X ROSE HINKLE 5413866380 849 PACIFIC AVENUE HOOD RIVER OR 97031 MAXIMILLIAN JANASIK CEO 40.00 X 389150 0 155646 JENNIFER GRIFFITH CHIEF PEOPLE OFFICER 40.00 X 264337 0 69526 HARLEY DAVIDSON CHIEF OPERATING OFFICER 40.00 X 212398 0 63007 CONSTANCE SERRA LEAD PHYSICIAN 40.00 X 224606 0 18704 GREGORY PARKER PHYSICIAN - FAMIILY PRACTICE 40.00 X 190203 0 27760 MIRIAM FAUTH PHYSICIAN - FAMIILY PRACTICE 38.00 X 191456 0 18588 KATHLEEN MCKENNA PHYSICIAN - PRIMARY CARE 40.00 X 193088 0 11332 REBECCA FLAIZ DENTIST 40.00 X 178022 0 10800 JAMES STROHSCHEIN DENTAL DIRECTOR 40.00 X 162276 0 15972 ROSE HINKLE CFO 40.00 X 78575 0 19988 BELINDA BATCHA CFO (THROUGH APRIL 2022) 40.00 X 74721 0 6437 IAN CHANDLER CHAIR 1.00 X X 0 0 0 REYNA SALDATE VICE CHAIR 1.00 X X 0 0 0 AMY KLEE SECRETARY 1.00 X X 0 0 0 SHAWN WHALEN TREASURER 1.00 X X 0 0 0 ELIZUR BELLO BOARD MEMBER 1.00 X 0 0 0 MARIA CASTRO BOARD MEMBER 1.00 X 0 0 0 ROSA CASTRO BOARD MEMBER (THROUGH FEB 2022) 1.00 X 0 0 0 SUZANNE CROSS BOARD MEMBER 1.00 X 0 0 0 YESENIA DERAS BOARD MEMBER 1.00 X 0 0 0 BUCK JONES BOARD MEMBER 1.00 X 0 0 0 JONATHAN KARA BOARD MEMBER 1.00 X 0 0 0 BILL NOONAN BOARD MEMBER 1.00 X 0 0 0 SHANON SALDIVAR BOARD MEMBER 1.00 X 0 0 0 MARK THOMAS BOARD MEMBER 1.00 X 0 0 0 2158832 0 417760 34 0 1 0 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 BILLING AND DATA SERVICES 1982637 CONVERGENCE NETWORDS 4252 SE INTL WAY SUITE A MILWAUKIE OR 97222 COMPUTER SERVICES AND SUPPORT 1047262 SCRIBE X NORTHWEST PO BOX 6590 PORTLAND OR 972286590 REMOTE MEDICAL SCRIBES 532525 BARTON AND ASSOCIATES INC 300 JUBILEE DRIVE PEABODY MA 01960 LOCUM NURSES 481443 LANGUAGE LINE SERVICES PO BOX 202564 DALLAS TX 75320 TRANSLATION AND TRAINING SERVICES 382111 15 6999021 768203 207732 7767224 PATIENT SERVICE REVENUE 621110 19712651 19712651 PHARMACY 621110 1192191 1192191 20904842 202440 202440 1584697 1644204 -59507 -59507 -59507 MISCELLANEOUS REVENUE 900099 13714 13714 13714 28828713 20904842 0 156647 7620 7620 1248217 355560 892657 15107098 12108081 2999017 473630 363616 110014 2544703 2035404 509299 1239203 927738 311465 62321 9915 52406 89571 89571 32940 32940 1211897 550287 661610 288834 18378 270456 40309 17689 22620 1097702 -2440 1100142 568931 13585 555346 68099 46730 21369 57381 19765 37616 251501 251501 977410 11296 966114 95497 27598 67899 PHARMACY EXPENSES 1781910 1677326 104584 MISCELLANEOUS EXPENSES 429586 228801 200785 TRAINING 224507 106932 117575 BAD DEBT EXPENSE 223477 223477 328512 240709 87803 28450856 18988067 9462789 0 7836808 8011568 2062977 992506 2812629 1966009 1378718 1562568 653880 491595 26866786 5194059 21555239 21672727 4077464 4207672 40377715 38904645 2964120 2418358 743159 96354 13275835 13077217 16983114 15591929 X 23394601 23312716 23394601 23312716 40377715 38904645 377857 -459514 -228 0 X 0 1 X 1 1 1 X 5388548 5543425 11465158 9565894 7767224 39730249 5388548 5543425 11465158 9565894 7767224 39730249 39730249 146942 172394 78164 77459 202440 677399 26733 11541 9543 -2487 13714 59044 40466692 80089857 0.98180 0.98370 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME PART II, COLUMN E: THE AMOUNTS REPORTED IN PART II, COLUMN E ARE FOR A SHORT PERIOD THAT BEGAN ON FEBRUARY 1, 2022 AND ENDED ON DECEMBER 31, 2022. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1776565 1776565 20320367 2964871 17355496 4328460 2229188 2099272 441394 441394 21672727 X 28784394 113101 59507 172608 28611786 216927 216927 28828713 28347030 113101 113101 28233929 216927 216927 28450856 PART X, LINE 2: UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, OCH IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF DECEMBER 31, 2022, OCH HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. MANAGEMENT EVALUATED OCH'S TAX POSITIONS AND CONCLUDED THAT OCH HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: REALIZED INVESTMENT LOSSES 59,507. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 216,927. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 216,927. 1 PART I, LINE 2: PRIOR TO MAKING A CONTRIBUTION TO ANOTHER ORGANIZATION, WE CONFIRM THAT THEY ARE EITHER A QUALIFIED CHARITY OR A GOVERNMENT AGENCY. SINCE CONTRIBUTIONS ARE INTENDED FOR GENERAL OPERATING SUPPORT, NO FURTHER FOLLOW-UP IS CONDUCTED REGARDING USE OF THE FUNDS. X 0 1 X X X X 0 0 0 1 0 0 0 0 0 MAXIMILLIAN JANASIK CEO 276010 0 113140 0 0 0 128746 0 26900 0 544796 0 0 0 JENNIFER GRIFFITH CHIEF PEOPLE OFFICER 219537 0 44800 0 0 0 54313 0 15213 0 333863 0 0 0 HARLEY DAVIDSON CHIEF OPERATING OFFICER 192398 0 20000 0 0 0 37800 0 25207 0 275405 0 0 0 CONSTANCE SERRA LEAD PHYSICIAN 222606 0 2000 0 0 0 0 0 18704 0 243310 0 0 0 GREGORY PARKER PHYSICIAN - FAMIILY PRACTICE 188203 0 2000 0 0 0 0 0 27760 0 217963 0 0 0 MIRIAM FAUTH PHYSICIAN - FAMIILY PRACTICE 189556 0 1900 0 0 0 0 0 18588 0 210044 0 0 0 KATHLEEN MCKENNA PHYSICIAN - PRIMARY CARE 190588 0 2500 0 0 0 0 0 11332 0 204420 0 0 0 REBECCA FLAIZ DENTIST 170294 0 7728 0 0 0 0 0 10800 0 188822 0 0 0 JAMES STROHSCHEIN DENTAL DIRECTOR 137026 0 25250 0 0 0 0 0 15972 0 178248 0 0 0 PART I, LINE 1A IN 2022, ROSE HINKLE RECEIVED A HOUSING ALLOWANCE OF $7,259 AS A CONDITION OF HER JOINING ONE COMMUNITY HEALTH AS CFO. THIS AMOUNT WAS NOT INCLUDED IN HER TAXABLE INCOME. PART I, LINE 1B AS PART THE HIRING PROCESS AND NEGOTATIONS, THE HOUSING ALLOWANCE WAS APPROVED BY THE CEO AND CPO. PART I, LINE 5 THE ORGANIZATION HAS AN EXECUTIVE INCENTIVE COMPENSATION PLAN FOR THE CEO, CPO, CFO, AND COO. THE CEO'S GOALS AND TIERED ACHIEVEMENT TARGETS PER GOAL ARE SET EACH YEAR BY THE BOARD AND THE CFO, CPO, AND COO'S GOALS AND TIERED ACHIEVEMENT TARGETS PER GOAL ARE SET EACH YEAR BY THE CEO. AT THE END OF THE FISCAL YEAR, RESULTS ARE COMPARED TO ACHIEVEMENT TARGETS TO DETERMINE THE PAYOUT. DURING THE YEAR ENDED DECEMBER 31, 2022, THE CEO'S MEASURES INCLUDED FINANCIAL STEWARDSHIP, GROWTH, EMPLOYEE ENGAGEMENT, AND EMPLOYEE COMPENSATION AND THE CFO, CPO, AND COO'S MEASURES ARE SPECIFIC TO EACH POSITION BUT INCLUDED CATEGORIES SUCH AS DIVERSITY, EMPLOYEE ENGAGEMENT, EMPLOYEE COMPENSATION, FINANCIAL STEWARDSHIP, GROWTH, PATIENT CARE RATE, PERFORMANCE MANAGEMENT, SCHEDULING EFFICIENCY. X 6045 207732 INVOICE PRICE 0 0 0 0 PART I, COLUMN (B): THE NUMBERS REPORTED IN PART I, COLUMN B REPRESENT THE NUMBER OF DONATED ITEMS RECEIVED DURING THE FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE PAST CHAIRPERSON, IF THEY ARE STILL A MEMBER OF THE BOARD OF DIRECTORS, AND IS CHAIRED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE REPRESENTS THE BOARD OF DIRECTORS BETWEEN REGULAR BOARD MEETINGS WHENEVER NECESSARY. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS EXCEPT REGARDING DECISIONS THAT REQUIRE A MAJORITY VOTE OF THE BOARD OF DIRECTORS, OR AS OTHERWISE SPECIFICALLY PROHIBITED BY THE BOARD OF DIRECTORS. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ON BEHALF OF THE BOARD ARE FULLY REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CFO, CEO, THE BOARD'S FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C FULL DISCLOSURE, BY NOTICE IN WRITING, SHALL BE MADE BY THE INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST AND PERCEIVED CONFLICTS OF INTEREST. FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO THE BOARD SHALL VOTE TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKE ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT ONE COMMUNITY HEALTH'S BEST INTEREST. BOTH VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED. AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OF DIRECTORS, OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF DISCUSSION IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION; HOWEVER, THEY MUST LEAVE THE MEETING DURING THE DISCUSSION AND VOTE BY THE BOARD AND/OR OFFICERS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS, UTILIZING MARKET STUDIES OF COMPARABLE ORGANIZATIONS' WAGE SCALES. THE COMPENSATION OF OTHER OFFICERS IS INITIALLY SET BY THE CHIEF EXECUTIVE OFFICER, BUT THEY ARE ALSO REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL BUDGETING PROCESS. ONE COMMUNITY HEALTH'S COMPENSATION PHILOSOPHY ALIGNS COMPENSATION IN SUPPORT OF OUR MISSION, VISION, VALUES, AND OPERATIONAL STRATEGIES. PAY IS ESTABLISHED BY QUALIFICATIONS SET FORTH IN JOB DESCRIPTIONS, THE RANGE OF PAY FOR ALL JOB CATEGORIES USING MARKET SURVEY SOURCES, AND A PROCESS FOR PAY INCREASES. THE CHIEF EXECUTIVE OFFICER IN COOPERATION WITH KEY EMPLOYEES IS RESPONSIBLE FOR OVERSIGHT OF THE DEVELOPMENT, REVIEW, AND REVISION OF THE PAY STRUCTURE. THE BOARD OF DIRECTORS REVIEWS, APPROVES OR RECOMMENDS MODIFICATIONS TO THE PAY STRUCTURE PRESENTED. A COMPREHENSIVE SALARY SURVEY IS COMPLETED EVERY THREE YEARS TO ASSESS UPDATING BASE RATES FOR POSITIONS. OTHER FORMS OF COMPENSATION SUCH AS BONUSES, INCREASES, AND HEALTH INSURANCE ARE REVIEWED ANNUALLY WITH RECOMMENDATIONS MADE TO THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS FOR APPROVAL. THE CEO'S COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY, ALTHOUGH THE LAST MARKET COMPARISON WAS COMPLETED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC.